2026 NPPES data Pediatric Nurse Practitioner NPI 1427616986
Verify on CMS →

ANDREA ANDERSON

Pediatric Nurse Practitioner in COUNCIL BLUFFS, Iowa. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
198
Medicare Part D claims · 80 beneficiaries · Pediatric Nurse Practitioner avg: 312
Industry payments
$394.68
18 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANDREA ANDERSON is a Pediatric Nurse Practitioner ([object Object]) practicing in COUNCIL BLUFFS, Iowa with a Medicare Part D prescribing footprint of 198 claims across 80 beneficiaries . Industry payments of $394.68 across 18 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANDREA ANDERSON filed 198 Medicare Part D claims in 2023 across COUNCIL BLUFFS, Iowa. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ANDREA ANDERSON at a glance

Quality data not reported

NPI registry status

Active

Issued 05/30/2019

NPI 1427616986

Primary specialty

Pediatric Nurse Practitioner

Mid-sized

21,082 US NPIs in this specialty

Medicare Part D claims

198 37% vs specialty avg

2023 prescription claims

Specialty avg: 312

Specialty distribution in Iowa

How Pediatric Nurse Practitioner compares to other specialties among Iowa providers

Iowa providers

Pediatric Nurse Practitioner share within Iowa

1. Pediatric Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nurse Practitioner share within Iowa

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Pediatric Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREA ANDERSON is a Pediatric Nurse Practitioner provider practicing in COUNCIL BLUFFS, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1427616986. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREA ANDERSON appears in the CMS NPPES registry as a Pediatric Nurse Practitioner provider at 1 EDMUNDSON PL STE 100, COUNCIL BLUFFS, IA, 51503, with a listed phone of (717) 322-4136. NPI 1427616986 was issued on 05/30/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANDERSON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 198 prescription claims written by this provider, covering 80 Medicare beneficiaries and totaling roughly $66K in drug spend, with an opioid prescribing rate of 11.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Nurse Practitioner is a mid-sized specialty nationwide, with 21,082 enrolled providers across 52 states and an average of 312 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503

Provider Details

NPI 1427616986
Specialty Pediatric Nurse Practitioner
Gender Female
NPI Issued 05/30/2019

Hospital and facility affiliations

Facilities where ANDREA ANDERSON bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UNMC PHYSICIANS
OMAHA, NE

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ANDREA ANDERSON. Source: openpaymentsdata.cms.gov.

Total received

$395

Largest payer

Lundbeck LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

198
Total Claims
$66K
Total Drug Cost
80
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
342
Total Day Supply
8,991
Generic Drug Cost
$8K
Opioid Claims
23 (11.6% rate)
Antibiotic Claims
14

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
2.38
Gender Split
70% female / 30% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Anastrozole
57
Letrozole
27

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Nurse Practitioner Overview

How ANDREA ANDERSON fits within the Pediatric Nurse Practitioner landscape nationally.

21,082
Pediatric Nurse Practitioner Providers in US
52
States with Pediatric Nurse Practitioner
312
Avg Claims per Provider

ANDREA ANDERSON's 198 claims are below the specialty average of 312.

Nearby Pediatric Nurse Practitioner Providers in Iowa

Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as ANDERSON.

Compare Pediatric Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREA ANDERSON's specialty?
ANDREA ANDERSON specializes in Pediatric Nurse Practitioner and practices in COUNCIL BLUFFS, Iowa.
How much does ANDREA ANDERSON prescribe under Medicare Part D?
In 2023, ANDREA ANDERSON wrote 198 Medicare Part D claims totaling $66K in drug costs for 80 beneficiaries.
Where is ANDREA ANDERSON located?
ANDREA ANDERSON is located at 1 EDMUNDSON PL STE 100, COUNCIL BLUFFS, IA, 51503. Phone: (717) 322-4136.
What is ANDREA ANDERSON's NPI number?
ANDREA ANDERSON's National Provider Identifier (NPI) is 1427616986, issued on 05/30/2019.
Does ANDREA ANDERSON prescribe opioids?
Yes, ANDREA ANDERSON had 23 opioid claims in 2023 with an opioid prescribing rate of 11.6%.
How many Pediatric Nurse Practitioner providers are there in the US?
There are 21,082 Pediatric Nurse Practitioner providers across 52 states in the US. The average Pediatric Nurse Practitioner provider writes 312 Medicare Part D claims per year.
What drugs does ANDREA ANDERSON prescribe most often?
Based on 2023 Medicare Part D data, ANDREA ANDERSON's most frequently prescribed drugs include Anastrozole, Letrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREA ANDERSON accept Medicare?
ANDREA ANDERSON appears in CMS Medicare data with 198 Part D claims and 80 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREA ANDERSON's credentials?
ANDREA ANDERSON's NPI is 1427616986. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology